Booking form

Your booking

If you want to make a firm booking, please complete the form below.

On our booking form we ask for your passport details, date of birth and other personal details. We need these details to produce all necessary crew lists for immigration purposes. Additionally we need a fully completed health statement with details about medicine dosages and medicine names. This information will be used to get a first insight in your overall fitness and determine any possible risks of sailing in a remote area. Obviously these details will be treated confidentially.

Completing the form will take about 10 till 15 minutes of your time. If you don't have all necessary information at hand and need some more time you can download a PDF version of our form. This will give you the opportunity to save the document on your desktop and send it via e-mail to our office.

After receipt of your booking form we will process your booking as soon as possible. Your booking is confirmed after receiving our confirmation of your booking and a corresponding invoice. Our payment conditions and banking details are mentioned on the invoice. Good to know: we cannot accept cheques and credit cards.

Are you 70 years old or over at the time of booking? We kindly ask you to fill in the additional health statement that needs to be signed by your physician/general practioner. While booking a voyage, you can email the document to: info@barkeuropa.com. This statement will be discussed by our ships doctors to make a final decision, based on safety, fitness and health, together with our captains and shipping office.

Sailors over the age of 75 that want to sail an ocean crossing or an Antarctica voyage with us, we ask to book a shorter coastal voyage first. Our captains and ships doctor will on this coastal voyage decide if the sailor can sail an ocean crossing or Antarctica voyage in remote areas. After all, a voyage is fully enjoyed when you feel strong, fit and comfortable on board!

Trainee details for Customs and Immigration authorities

Gender*

MaleFemale

Initials*

Nickname

First name (as in passport)*

Last name*

Nationality*

Place of birth*

Country of birth*

Date of birth*

Passportnumber

Issued at

Valid until

Address information

Street + number*

Postal code*

City*

Country*

Email address*

Profession or occupation*

Telephone

Teleph. mobile

Books the following sail voyage on board the Bark Europa:

Available voyages

Cabin preference

Remark

I am a single traveler

I travel with

Please let your fellow trainee send in a booking form for his/her own.

Please tick off your choice

YesNo

I declare to have an own travel insurance, including coverage of a possible medical evacuation*

YesNo

I declare to have a valid health insurance in my home country.*

YesNo

I declare to arrange a cancellation insurance, at the time of receiving the confirmation of my booking*

We strongly recommend you to arrange a cancellation insurance at time of booking, as this insurance may be able to refund your voyage fee should you have to cancel your voyage due to unforeseen circumstances.

Next of Kin (Emergency contact)

Relation

Mrs./Ms./Mr. Name

Street + number

Postal code

City

Country

Email address

Telephone

Telephone mobile

Dietary requirements

Vegetarian

Food allergies

Additional remarks

HEALTH STATEMENT - BARK EUROPA

The shipping company Rederij Bark EUROPA makes every effort to ensure the safety of every person on board. Our trainees are expected as well to assume responsibility for their own safety. Insufficient mental or physical health may create undue risks, not only to yourself, but it is essential to realize that illness or accidents may also threaten the safety of other trainees and crew and may seriously disrupt the sailing program of the vessel.
Medical care
When undertaking a long ocean voyage where you are several days of sailing away from the inhabited world, it is important to realize that extensive medical care is not available. Transport to the mainland is often impossible. On board there are crew members with a medical training.
If you are in doubt about your fitness for a sea voyage on a sailing and rolling ship you are requested to seek your doctor's advice first.
If you are in doubt about your fitness for a sea voyage on a sailing and rolling ship you are requested to seek your doctor's advice first.

To prevent misunderstandings please answer the questions below. Please keep in mind that a questions answered with 'yes' does not automatically mean you will be refused on board the ship. Please inform the office of the Bark EUROPA about any condition and keep in mind to bring your own necessary medication with you.

YesNo

Do you need help in climbing stairs or taking thresholds of 60 cm (2 ft)?*

YesNo

Are you by experience very prone to motion sickness (sea sickness)?*

YesNo

Do you have diabetes?*

YesNo

If yes, do you need injections?*

YesNo

Do you have any respiratory problems? (e.g. Astma)*

YesNo

Do you have heart or vascular problems?*

YesNo

Do you have epilepsy?*

YesNo

Do you have an increased risk for infections or did you have radio- or chemotherapy in the past 24 months?*

YesNo

Have you been denied a driver's licence on medical grounds?*

YesNo

Do you use anticoagulants (bloodthinners)?*

Yes
No

Are you pregnant? *

Pregnant women are not allowed to travel on board bark EUROPA

YesNo

Do you suffer from other medical uncomfortabilities of which the Rederij must be informed?*

YesNo

Do you have a previous history of a nervous or mental disorder?*

YesNo

Do you have joint replacements (hip/knee)?*

YesNo

Do you experience any difficulty with your physical mobility?*

YesNo

Do you experience any difficulty with your hearing?*

YesNo

Do you experience any difficulty with climbing a rope ladder?*

YesNo

Do you do sports or any other exercise?*

In case yes, what type of sport or exercise?

How many minutes per week?

If you have answered questions with 'yes' please explain here

This is the complete list of my medication including dosage

Known allergies

Because of the certain measurements of the safety hatches on board the ship we ask the following

YesNo

Do you estimate that you could use the emergency escape hatch with the measurements of 60 x 52cm?*

Weight in kg*

Length in cm*

I am aware of and accept the conditions and considerations above. I declare to have answered these questions truthfully. This booking is subject to the ships doctors and captains approval based on the completed health statement. I am fully aware that my participation in voyage on board the Bark EUROPA is at my own risk.*

I agree to immediatly advise Rederij Bark EUROPA of any change in the status of my health condition prior to boarding*

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